Dr Mark Chan, MD | |
2121 Mesa Dr, Boulder, CO 80304-3621 | |
(312) 635-0973 | |
(312) 635-0050 |
Full Name | Dr Mark Chan |
---|---|
Gender | Male |
Speciality | Physical Medicine & Rehabilitation |
Location | 2121 Mesa Dr, Boulder, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255569638 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | DR.0069232 (Colorado) | Primary |
Entity Name | Pioneer Spine And Sports Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346282621 PECOS PAC ID: 5991609174 Enrollment ID: O20060712000051 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark Chan, MD 271 Park St, West Springfield, MA 01089-3311 Ph: (413) 785-1153 | Dr Mark Chan, MD 2121 Mesa Dr, Boulder, CO 80304-3621 Ph: (312) 635-0973 |
John Tobey, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 5387 Manhattan Cir, Suite 200, Boulder, CO 80303 Phone: 303-494-7773 | |
Britt Garcia, PT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 350 Ponca Pl, Boulder, CO 80303 Phone: 720-562-4413 | |
Michael Craig Mahan, PT, DPT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3000 Center Green Dr Ste 300, Boulder, CO 80301 Phone: 303-413-9903 Fax: 303-413-9907 | |
Mr. Kyle S Kahl, MS, ATC Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 5603 Arapahoe Ave Ste 5, Boulder, CO 80303 Phone: 303-903-9419 | |
Olivia Covin, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1800 Broadway Ste 190, Boulder, CO 80302 Phone: 720-869-1857 | |
Julie A Stapleton, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 5277 Manhattan Cir, Suite 100, Boulder, CO 80303 Phone: 303-499-9950 |